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HomeMy WebLinkAboutPermit Building 1996-12-09OTT OF SPFIrlGFIELD RESIDENTIAT PER}IIT APPI.ICATION CITY OF SPRINGFIELD COMMI'NTTY SERVICES DIVISION BUIIJDING SAFETY Page 1 Job Nnnber: 96L443 225 North Fifth Street Springfield, OR 97477 Location of Propoeed Work! 357 35TH ST Assessors t"tap #: L7o23L24 Lot: 2 Block: Office Inspection Line 726 -3759 726 -37 69 Tax Lot #: Subdivision: ]-2600 95-05-99 OWNET: DENNTS/BARBARJA WARD Address: 345 35TH STREET Describe WorK : MAI{UFACTI,RED HO}IE Phone #: 746-738L city/staEe/zrp: SPRTNGFTELD, OREGON 97478 NEW QUAD AREA: 3RNC # OF UNITS: 1 CONSTR. TYPE: VN WATER HEATER: E -- oFFrcE usE -- LAND USE: 111L ZONING CODE: LDR # OF BDRMS: 3 RANGE: E # OF BLDGS: 1 OCCY GROUP: R3 HEAT SOURCE: FE SQ FOOTAGE: 1385 To request an inepection, call the 24 hovr recording al 726-3769. A11 inspections request,ed before 7:00 a.m. will be made the same working day, inspect,ions request,ed after 7:00 a.m. will be made the following work day. --- REQUTRED TNSPECTIONS --- FOOTING - After trenches are excavated. SAI{ITARY SEWER LINE - Prior to filling trench. WATER LINE - Prior Eo filling trench. STORI{ SEWER LINE - Prior to filling trench. ldAlIuF HoldE/MoBILE HOME SET UP - When a}l blocking j-s compf ete. MAI.IUF. HODTE/MOBII.E HOME ELECTRICAI, - WhCN bIOCKiNg, SEtUP, ANd plumbing inspections have been approved and home is connected to panel UAI'IUP. HOIIE/MOBIIJE HOME PLITMBING - After home has been connected to water and sewer. CURBCUT - After forms are erected but prior to placement. of concrete. SIDEWALK - After excavation is compleEe, forms and sub-base material in place. FINAL SET UP - After all required inspections are approved and porches skirLing, decks, venting, house numbers, etc. have been inst.all-ed. Lot Type: PANHANDLE Item Main Garage FTG/PERIM FOI]NDATION Total Value Building Permit Fee Surcharge/aamin --- BUILDING PERMIT Square Feet x $/Square Feet VaLue 35, 105 . 00 0.00 7,865.00 43 ,97L . OO 68. s0 5 .49 TOTAL FEE (A)73.99 .fob Number: 95L443 OTT OF SPruNGFIEID, Page 2 --- SYSTEMS DEVEI,OP}TEIIT CHARGE (SDC) (B)2,433 .L2 Systems Development Charge is due on all undeveloped properties within the City limits and the Citys Urban Growt,h Boundry which are being improved. --- PLUIIBING PERMIT --- Item Sanitary Sewer Water Storm Sewer Plumbing Permit Surcharge/aamin TOTAL CIIARGE 150 150 150 Fee 40.00 40.00 40.00 l_20.00 9.50 (c) --- MISCELLAI{EOUS PERI'IITS --- Mobile Home State Issuance Surcharge/eOmin Sidewalk Curb Cut WILLAMALANE SDC TOTAL MISCETLAI.IEOUS PERMITS 105.00 20.00 8.40 13 .50 13.50 1,000.00 (E)1,150.50 (Excluding EIectsrical ) unlese otherwise noted --- TOTAI. A}{OI'}il:T DUE --- (A, B, C, D, and E combined)3 ,? 97 .3L --- BUILDTNG VALUE, PIJAN CHECK AI{D BUILDING PERMIT --- This permiE is granted on the express condition that the said construction shall-, in alL respects, conform to t,he Ordinance adopted by the City of Springfield, including the Development, Code, regulating the construction and use of buildings, and may be suspended or revoked at any time upon violation of any provisions of said ordinances. Plan Check Feez 44.53 Date paid: Received By: Plans Reviewed By: LISA HOPPER Date: Building Site Reviewed By: LfSA HOPPER 1.0/23/e6 1,1,/1,s/96 Receipt Number: 23572 --- ADDITIONAI. COMME}flTS --- A & T ESTIMATE ONLY. INDIVIDUAL LOTS NOT LISTED rN couNTY SYSTEM AS OF tO/3L/96 DRIVEWAY REQUIRED TO BE PAVED By aignature, I atate and agree, that I have carefully examined the completed application and do hereby certify Lhat all information hereon is true and correct, and I further cerEify that any and all work performed shal} be done in accordance wit,h the Ordinances of the City of Springfield, and the Laws of the State of Oregon pertaining to the work described herein, and that, NO OCCUPANCY will be made of any sLructure without, permission of the Community Services Di.vision, Building Safety. I furt,her certify that only contractors and employees who are in compliance wit,h ORS 70L.055 will be used on this project. SPR!NGFIELD L29.60 CITY OF SPruNGFTELD, SPF!ilGF!ELD Job Number: 961,443 Page 3 I further agree to ensure that all required inspections are reguesued at theproper time, that, each address is readabl-e from the street, that the permit card j-s locat,ed at the front, of the property, and the approved set of plans wil-I remain on the site at all times during construction. a 1zL Signat,ure nil -7 --- VAI.IDATION --- Receipt Number: Date Paid: Amount Received: Received By /z- 7 -7G CITY OF SPruNGFIEII', SPFIi.GFIELl, Page 1 CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT CHARGE (RESIDEMTIAL) Name or Company: DENNTS/BARBARA WARD Locationz 357 35TH ST Developement T)T)e: R Building Size: Job No. : 95t443 Lot Size Sq Ft ].. STORM DR,AINAGE Impervious Sq Ft 2. SAI.IITARY SEWER - CITY Number Of PFUs (see Page 2) 3. TRJAI{SPORTATION Number Of Units 1X x Transportation Tota] 4. SAI'IITARY SEITIER - MIIMC Number Of PFUS 18 X 0.2a6 Per Sq Ft = X 44.75 Per PFU = x Cost Per Trip 45L.26 327 9 18 Trip Rate 1.010 x $4ss.77 $708.26 $8os. s0 $45s.77 $382.42 $34.70 $347 .72 $2,3L7 .26 $11s . 86 x Per PFU + 20.690 + MWMC Admin Fee 10.00 MI^MC CREDIT If Applicable (see eage 2) TOTAL - MWMC SDC SITBTOTAL - (Add Items 1, 2, 3 & 4) 5. ADMINISTR.ITIVE FEES Base Charge (Subtotal above) x 0.50 TOTAI. SDC Reviewed By: DENNfS ERNST Date:1,t/OL/96 i2 ,433 .12 qTT OF SPilNGFIEI.D, SPFINGFIELCl Job Number: 95L443 Page 2 FIXTURE I'NTT CAI,CUIJATION TABLE Fixt,ure Type Number of New Fixture Unit Eguivalent Fixture unr_ts BathEub Drinking Fountain Floor Drain Interceptors For Grease/oi1/sol-ids/Btc Inteceptors For Sand/Auto Wash/Etc Laundry Tub/Clotheswasher Clotheswasher - 3 or More Receptor For Refrigerator/Water Station/Stc Receptor for Commercial- Sink/Dishwasher/Etc Shower, Single Sta11 Shower, Gang Sink, Bar, Commercial, Residential Kitchen UrinaI, Stall/Wa11 Wash Basin/Lavai'ory, Sing1e water Closet, PubIic InstallaEion Water Closet, Private Miscellaneous TOTAL FIXTURE UNITS =18 CREDIT CALCIILATION TABLE: Based on assessed va1ue. ff improvements occured after annexation date, credits are calculated separately (cal-cuLations are by $1000) Year Annexed: ]-969 Credit For Parcel or Land only If Applicable: 10,000 x 3-47 = 34.70 Improvement (if after annexation date): 0 X 3.47 = 0.00 CREDIT TOTAL = $34.70 (If land value is multiplied by 1 then the parcel/land credit is not accurate.) 2 t_ 2 3 5 2 A 1 3 2 z 2 1 5 4 0 0 0 0 1 0 0 0 0 0 t_ 0 2 0 z 0 4 0 0 0 n ) 0 0 0 0 0 2 0 - 8 0 CITY OF OREGO'V SPFlth(iFlELEl DEVELOP M ENT S ERVIC ES DE PARTM ENT 225 FIFTH STREET SPRINGFIELD, OR 97477 (541 ) 726-3753 FAX (s41) 726-368s MANUFACTURED HOME SET.UP AGREEMENT As required by the City of Springfield Development Code, I understand and the one of the following manufactured homes will be Springfield, Oregon, City Job Number Type I Manufactured Home: A multi sectional (double wide or wider) unit with an enclosed floor area of not less than 1,000 square fee! that has a nominal roof pitch of 3 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance standards which reduce heat loss to levels equivalent to t[e perfqrmance standards required for single family dwellings at the time of construction. l) C t- ) initials Type II Manufactured Home: A unit of not less than 12 feet in width enclosing a minimum floor area of 500 square fee! that has a nominal roof pitch of 2 feet in height for each 12 feet in width, that has no bare metal siding or roofing, and that has been certified by the manufacturer to have an exterior thermal envelope meeting performance standards which reduce heat loss to levels equivalent to the performance standards required for single family dwellings at the time of construction.initials I further state, by my signature below, that I have been provided with the following information: Manufactured Home Blocking, Water Line Connection, Street Tree Standards, Sanitary Sewer Connection, Electrical Connection, and Minimum requirements for permanent steps. I also understand that ttre manufactured home shall be placed on an excavated and backfilled foundatiotr not to exceed 6 percent slope within l0 feet of the perimeter enclosure, enclosed at the perimeter with stone, brick or other concrete or masonry materials approved by the Building Official and with no more thar.Z4 inches of the enclosing material exposed above grade. t),/ ? / ?6 Signature Date / / Rp ESIDENTIAL ERMIT APPLICATION rspectlons: 726€769 fflce: 720.3759 SPFlING FIELO LOCATION OF PROPOSED WO RK: 3tASSESSORS MAP: LOT BLOCK: To rsquest an lnspectlon, made the same worklng , Temporary Electrlc Slte lnspectlon - To be madoafter excavatlon, but prlor tosettlng lorms. sfh Sl J-l Rough Etecrrlcal - prlor tolJ cover. Eleclrlcal Servtco - Must beapprovod to obtaln permanent olectrlcal power. Flreplace - Prlor to faclng materlals and framlng lnsp. [--l Framlng - prtor to cover. WallrC'elllng ln cover. i sdlatlon - prlor to Drywall - Prlor to taplng Wood Stovo - Aftor lnstallatlon. JOB NUMBER q 225 Flfth Street Sprlng fleld, Oregon 97477 r Flnal Plumblng - When altplumblng work ls complete, Flnal Electrlcal - \A,{lren allelectrlcal work ls complete.t nal Mechanlcal - When allchanlcal work ls complete. Flnal Bulldlng - When all requlred lnspecflons have beenapproved and bulldlng ls complotecl. MOBILE HOME INSPE TIONS Blocklng and Set.Up - Whep ailblocklng ls complete. Electrlcal Connectlon - When blocklng, set.up, and plurpblng lnspectlons have been approved and the home ls connected to the servlce panel. Flnal - After all requlred lnspectlons are approved and porches, sklrtlng, decks, and ventlng have been lnslalled. ln o SUBDIVISiON ' you must call 726'3769. Thls l8 a 24 hour recordlng. All lnspectlons requested before 7:00 a.m, wlll beday, lnspectlons requested after 7:00 a.m. wlll be made the foilowlng work day. REOUIRED INSPECTIONS Rough Mechanlcal - prlor to cover. [-l Underslab Plumbtng/Electrlcal/ - Mechanlcal - prlor to cover. I-l Masonry - Stoel tocailon, bonctu beams, groutlng. Foundallon - Aftdr forms are erected but prlor to concrete placement. l-l Unaerground Plumbtng - prtor.lJ to fllllng trench. Undertloor Plumblngt Mechanlcal - Prlor to lnsulatlon or decklng. Post and Beam - Prlor to floor lnsulatlon or decklng. Floor lnsulatlon - Prlor to decklng. Sanltary Sewer - Prlor to fllllng trench. Storm Sewer - Prlor to lllllng trench. [-l lnaert - After flreplace approval - and lnstallatlon of unlt. Curbcut & Approach - After forms are erected but prlor to placgmenl of concrete. Sldewalk & Drlveway - After excavatlon ls completo, forms and sub.base materlal ln place. Street Tlees - When all requlred trees are planted. Water Llne - Prlor to fllllng lranch. Rough Plumblng - Prlor to cover. ZIP: I S+ PHONE:I STATE:L rtqb-13OWNER: ADDRESS: CITY: -L -onBESCN!9E WORK: DEMOLISH OTHER NEW- BEMODEL ADDITION ADDRESS EXPIRES PHONE 9r CONTBACTOR'S NAME GENERAI.: MECHANICAL: PLUMBlNG: CONST, CONTRACTOR # - oFFlcE USE - SECONDARY HEAT: _ r OF BDRMS: SQUARE FOOTAGE OUAD AREA: r OF BLOGS: OCCY GROUP: r OF STORIES: CONSTR. TYPE HEAT SOURCE: .r OF UNITS: - ZONING CODE:_-. FLOOO PLAIN: RANGE: tl E tf Footlng - After tfenches are excavat6d. l-l Fence - When completed. [--l other l-l Ptumblng Connectlons - WhentJ home has been connecled to water and sewer, WATER HEAtrER:- E ',,,,iI, \' BUILDING PERMIT ITEM SO. FT. Maln Gaqage Carport X $/SQ. FT.VALUE BUILDING VALUE, PLAN CHECK AND BUILDING PERMIT Thls permlt ls granted on the €xpress condltlon that the sald constructlon shall, ln all respects, conform to the Ordlnance adopted by the Clty of Sprlngfleld, includlng the Dovelopment Code, regulatlng the constructlon and use of bulldlngs, and may be suspended or revoked at any tlme upon vlolatlon of any provlslons of sald ordlnances. Plan Check Fee: Date Paid Becelpt Number:- Recelved By: Plans Rovlewed By Dato VALIDATION Total Value Bulldlng Permit Fee State Surcharge Total Fee (A) u( RECEIPT N DATE PAID UM ER AMOUNT FIECEIVE ( IS THE PROPOSEO WORK IN THE - HISTOBICAL DISTBICT, OR ON ,,.TH E H ISTORICAL REGISTER? lf yes, thls appllcatlon must bE slgned and approved by the Hlstorlcai Coordlnator prlor to permlt lssuance. APPROVED: Lot faces Lot sq. ftg. Lot cov€rago Topography Total [elght Lot Type - lnterlor - Corner - Panhandle - Cul-de-sac P.L,HSE GAB ACC N S E Setbacks SYSTEMS DEVELOPMENT CHARGE (SDC) (B) Systems Development Charge ls due on all undeveloped propertles wlthln tho Clty llmits which are being lmprovecl. ADDITIONAL COMMENTS ITEM Flxturest Besidentlai Bath(s) Sanltary Sewer Water Storm Sewer Moblle Home FEE N0 FT. (\-) PLUMBING PERMIT Plumblng Permit State. Surcharge Total Charge Wood S.tove/ lnsert/ Flreplace Unlt Dryer Vent l5 0() ( tr) oo -+ZD2 N0Vent Fan Mechanlcal Permlt lssuahce State Surcharge Total P€rinit MECHANICAL PERMIT Furnaco Exhaust Hood By slgnature, I state and agree, that I have carefully examlned the completed appllcatlon and do hereby certlfy that alt lnformatlon hereon ls true and correct, and I f urther certlfy that any and all wor!< performed shall be dono In accordance wlth tho Ordlnanccs of the Clty of Sprlngf leld, and the Laws of the State of Oregon pertalnlng to the work descrlbed hereln, and that NO OCCUPANCY wlll be made of any structure wlthout permlsslon of the Bulldlng Safety Dlvislon. I further certlfy that only contractors and employees who are ln compllance wlth ORS 701"055 wlll be usod on thls prolect. I further ag;ee to ensure thai aii rflq:.ilie.i ins;,,eciicns are roquested at the proper tlme, that oactr address ls readahlo from tho street, that the permlt card ls iocated at the front of tho property, and tho approved set ol plans wlll remain Slgnature 3Date on the slte all mes durlng constructlon. MISCELLAN EOUS PERM ITS Moblle Homo State lssuance State Surcharge Sldewalk - ft Curbcut - ft Domolltlon State Surcharge Total Mlscellaneous Permlts (E) TOTAL AMOUNT DUE (exctudtng c,(4, B, C, D, and E Comblned) 'lc al) FIECEIVED BY , FT. FT. W C'TY OF SPRINGFIELD, OBEGO'V 225 YTFT,E STREET SPRTNGFTEI,D, OREGON 974 INSPBCTION REQUBST3 72 OFPICE: 726-3759 c sPR\ ,'IELD L000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dvelling Service or Feeder UnC EI,ECTRI City Joil nut 3. COHPI.BTB FEE SCEEDTII,B BELOS Nev Residential-Single or Mu1ti-Family per dvelling unit. Service Included:Items Cost ,CAL PERI{IT APPLICATION ,v N*a", ?4/7/3 Sum 1.LOCATION OP INSTALI.ATIONz57 /V3577r- I.,EGAL DESCRTFTION JOB DBSCRIPTIONa-*/ Permits are non-transferable and re if vork is not started vithin 180 days of issuanee or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI,ATION ONLY Electrical Contractor Address Ci ty /o Yhone 6,(/- O4Oi Supervisor License Number ,/16?S Expiration Date Constr Contr. Number j57/43r/ Expiration Date Signa trician Owners Name k/ Address ciryWpnone ?4/-Z{ZZ OIINER INSTALLATION The installation is being made on property I ovn vhich is not intended for sale, Lease or rent. 0vners Signature: DATE: Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps -40L amps to 600 amps _ 601 amps to 1000 amps_ Over L000 amps/volts Reconneet On1y Temporary Services or Feeders Installation, Alteration or Relocation $ 8s.00 s 1s.00 Z S 4o.oo glg 40. 00 s5.00 80.00 ee rrBrr aEove A B C $ s0.00 $ 60.00 $100.00 $130.00 $300.00 s 40.00 $ $ $ s 200 amps or less 201 amps to 400 amps -Over 40L to 600 amps Over 600 amps or 1000EIs D. Branch Circuits Nev, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscel-laneous (Service/feeder not included) -Each installation Pump or irrigation sign/outline Lighting- Limited Energy/Res Limited Energy/Comm SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAI $ 40.00 $ 40.00 s 20.00 s 36.00 5 RECEIVED e $Willamalane Park & Recreation District Job. No. SYSTEM DEVELOPMENT CHARGE WORKSHEET NAM PHONE: ADDRESS:STATE:ZIP: LOCATION OF PROPOSED BUILDING Street Address: Plat Name:Tax Lot Number: 1. DEVELOPMENT TYPE (Check appropriate dwelling(s). SDC calculations and dwelling t ype definitions are on the back.) A. Single-Family Detached Single Family home Manufactured home not in a Park NO. OF UNITS I X $1,000 per unit = $ B. Single-Family Attached NO. OF UNITS X $924 Per unit = $ C. Multi-Family Apartment NO. OF UNITS X $692 per unit = $ D. Manufactured Home Park NO. OF UNITS X $699 per unit = $ l(T[).WILLAMALANE SDC 2. SDC CREDIT (if applicable) SDC-payer must fumish proof of Willamalane Credit approval. See SDC Credit Worksheet- 3. TOTAL WILLAMALANE NET SDC ASSESSED (if sDc for Credit) $ I $ 7 CD Z Developm Se City of Springtield S rtment Date 2r ffi I'1 FrR-25-97 L 1 :56 t:lI'1 - 59trA2A464-,462 955 22rA 10, IJ ASPHALT COATING CO. Seruing Oregon since 1974 Itate / / / iE? D-:rr S ir r()pose Eo liLrrnish all mat.crill s ariel pe rfi,r.rn all lab'or rlcccssarlr to complr-te the fol.l oul n3 A1-[ r.rf t,he iti-)r.rt,(, ulrrk to be conpJ.ered in e sub:;rant ia1 and r^,e1-[pall1ike rlarrr]er according to sturrdar'r ii(. l- i I lrr: Stlm Cfdp f t-r:s l-or f?llars \LA/!flS,Q_-f_._*I Pay t--t O L',:, mad e' oas l.lrr: ur.:r k 1t; ()P,r(:ir of all work cunrpler- ACCF.P IED :les L() tlr* r':r1Lre ,f r i:elrL D8 ed. The enrire amoLlnt of conrract to bc' p c()mp l et ion. oi d x x Arty rrlteration or (J(:viatiolr fronr t.lrr,:;ltrrrue speuliic:ritiorts irrvolvirrg exLr'a cosLs t>f rratcriel (-)r l:rtr<>r vill onl-t,be execUtcd upotl urlttcn or,l*rs for::i,mc, arrrl vi I1 hccomc ill e-Yf r(:r cliargc ovef f l-rC' L:rlrrt mr:nI.ititrC.l i n f lii -J culrtrS(.f.. All- ai1 r eeilrt:rlt s nlt.lst bc m"rde in r.,ri:in8.. n-n L::i frriij Sr.rbmi L:ed, llv ACCNP'IANCIi You ar e herctry allrth(,rlzed to f urni:;h al I miiLerial-'; crr,l labt'r reqrrired to sa1 , f or whi t:l:_comp) rt e rhe work metilioned itr thc abtrvg prapo agrcc to pay thc amourlt menLioned in -sa'i.d prolts'1lt1 , and ac'c'ordirrg t:o t thcrcof. e Lerfls Datc :-,/ ^-l - P.L4 1 &.L, P.O. Box 831 , Springficld, 0R, 97A?7 (503) 746-0'i85 Pl-easc g:'-gn & reLrrrrr orrc coDy. Licun-tcrl' Bonded' Insttrcd c(:ts# 8:166 (